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  1. Children's access to primary care : differences by race, income, and insurance status.

    Article - En anglais

    Objective

    Congressional initiatives to reduce spending under major public programs designed to improve access to health care have brought renewed attention to the health care needs of traditionally disadvantaged populations.

    The objective of this study was to assess access to and use of primary care services for poor, minority, and uninsured children in the United States.

    Design and Setting

    We analyzed data on 7578 1-to 17-year-old children of families responding to the 1987 National Medical Expenditure Survey, a nationally representative sample of families and children.

    Outcome Measures

    Adult respondents were asked to report on several measures of access and use of care for children in the household.

    These included the presence of a usual source of care and its characteristics (type of site, travel time, waiting time, after-hours care, and availability of a regular physician).

    We also examined the volume of physician contacts relative to the sample child's health status, the receipt of measles vaccinations, and whether children received care in response to selected symptoms of ill health.

    Results are presented for children generally and for four subgroups :

    • poor children ;

    • minority children ;

    • uninsured children ;

    • and white, non-poor, insured children (the reference group).

    Results

    Poor, minority, and uninsured children fared consistently worse than the children in the reference group on all indicators studied.

    For example, children in each of the thre...

    Mots-clés Pascal : Accessibilité, Soin santé primaire, Utilisation, Pauvreté, Aide sociale, Assurance maladie, Race, Etats Unis, Revenu, Classe sociale, Vaccination, Santé, Morbidité, Enfant, Consultation, Centre santé, Médecin, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Accessibility, Primary health care, Use, Poverty, Social help, Health insurance, Race, United States, Tempering, Social class, Vaccination, Health, Morbidity, Child, Consultation, Health center, Physician, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0077155

    Code Inist : 002B30A07C. Création : 199608.